Active NPI
Coast to Coast Healthcare Solutions, Inc
- Nursing Care Agency
- Miami, FL
National Provider Identifier
1194842229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- COAST TO COAST HEALTHCARE SOLUTIONS, INC
- Practice address
- 561 NW 183Rd St
Miami, FL 33169-4469 - Phone
- (305) 999-9295
- Fax
- (305) 999-9259
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Judy Jackson, MSN, ARNP
- Title
- Administrator
- Phone
- (305) 999-9295
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211096 | FL | |
| Home Health Agency | 251E00000X | 30211118 | FL | |
| Nursing Care Agency | 251J00000X | Primary | ||
| Attendant Care Provider | 3747A0650X |
Addresses
Primary practice location
561 NW 183Rd St
Miami, FL 33169-4469
Mailing address
561 NW 183Rd St
Miami, FL 33169-4469
Phone (305) 999-9295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110860700 | Medicaid | FL | |
| 687228001 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Coast to Coast Healthcare Solutions Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Lauderdale Lakes, FL
- NPI 1376925867
-
- Nursing Care Agency
- Boca Raton, FL
- NPI 1932717238
Locations
561 NW 183rd St
Miami Gardens, FL 33169
Phone (305) 999-9295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1194842229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 NW 183RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694469",
"telephone_number": "305-999-9295",
"fax_number": "305-999-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 NW 183RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694469",
"telephone_number": "305-999-9295",
"fax_number": "305-999-9259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COAST TO COAST HEALTHCARE SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-999-9295",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN, ARNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211096",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211118",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110860700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687228001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- CNG Professional Group Inc
- Coach Cathy Connecting Mind and Body
- Coalition for Mental Health
- Coast to Coast Comprehensive Rehab Services, Inc
- Coast to Coast Diagnostic Inc
- Coast to Coast Med Equip
- Coastal Care Services, Inc
- Coastal Care SVCS Tpa, Inc.
- Coastal Diagnostics Group, LLC
- Coastal Health Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.